Prior Authorization Pharmacy Technician

Gainwell Technologies

. Handle inbound and outbound calls related to prior authorization requests and provider inquiries .

Posted 9/29/2026full-timeRemote • United StatesJuniorMid-Level💰 $38,400 - $54,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing prior authorization requests and provider inquiries while ensuring compliance with HIPAA regulations. Proficient in delivering exceptional support in a fast-paced call center environment, leveraging strong communication and problem-solving skills.

Highest-signal resume keywords

Certified Pharmacy Technician (CPhT)Prior Authorization ManagementHIPAA ComplianceMicrosoft Office ProficiencyProblem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization ProcessingDocumentation AccuracyPharmacy Benefit Management (PBM)Healthcare Provider Support

Soft Skills

Strong Communication SkillsTeam CollaborationCustomer Service Orientation

Tools & Technologies

EmailInternet Usage

Certifications & Qualifications

Certified Pharmacy Technician (CPhT)

Industry Keywords

Pharmacy TechnicianRetail PharmacyHospital PharmacyManaged CareInsurance

About the role

Key responsibilities & impact

Handle inbound and outbound calls related to prior authorization requests and provider inquiries
Accurately process and document prior authorization requests within required timeframes
Provide courteous and knowledgeable support to healthcare providers across phone, email, fax, and web
Ensure all communications and data handling comply with HIPAA and internal confidentiality protocols
Collaborate with cross-functional teams to resolve issues and improve service delivery
Support Gainwell’s pharmacy benefit management services by managing provider inquiries and prior authorizations

Requirements

What you’ll need

At least 2 years of experience as a pharmacy technician in retail, hospital, managed care, insurance, or PBM
Active and current Certified Pharmacy Technician (CPhT) credential
Strong communication, documentation, and problem-solving skills
Proficient in Microsoft Office, email, and internet usage
Comfortable working in a fast-paced, team-oriented, call center environment

Benefits

Comp & perks

Flexible work hours
Work-life balance
Continuous learning and career development
Remote work arrangement
Scheduling flexibility based on business and operational needs
Ongoing training and development
Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, and other employee support programs
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies
Flexible vacation policy